| NPI | 1346815073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 7197) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 7197) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-09-08 |