NPI | 1447306550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN27332) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 1873900) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2024-03-12 |