| NPI | 1366790883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS039267) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS039267) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2022-03-21 |