| NPI | 1407273881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 21826) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 21826) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-10-04 |