| NPI | 1427369883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1856537) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028384) |
| 122300000X Dentist (Licence: MA DN1856537) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-05-25 |