| NPI | 1487181541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN23280) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 100148515) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2019-12-07 |