| NPI | 1497848030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 25204) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: OH 30022239) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-02-18 |