| NPI | 1356837090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 1203) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 10124) |
| 122300000X Dentist (Licence: FL DRP1862) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-09-25 |