| 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 |