| NPI | 1457847576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: PR 3297) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 3297) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-01-28 |