| NPI | 1396378857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401418584) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 062978) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN24715) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-07-15 |