| NPI | 1427461383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401415108) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901600553) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1858069) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-08-07 |