| NPI | 1366014383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D012194) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 7730) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2024-10-15 |