| NPI | 1417413139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL D.007245-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2951000806) |
| 122300000X Dentist (Licence: OK 1341) | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2024-03-22 |