NPI | 1356599237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 3768-14) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 14641) |
122300000X Dentist (Licence: DC DEN1000754) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.023795) | |
Enumeration Date | 2008-09-03 |
Last Update Date | 2022-09-06 |