| NPI | 1497931745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC den1000472) |
| Additional Taxonomies | 122300000X Dentist (Licence: DC DEN1000472) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2025-05-27 |