| NPI | 1376195636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DRPM2329) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D.0006684-c1) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2021-06-10 |