| NPI | 1427054717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 10052) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 047169-1) |
| 122300000X Dentist (Licence: SC 10043) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2024-09-12 |