| NPI | 1386135937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2018020083) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: MO pending) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-06-18 |