| NPI | 1497945083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18168) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8934) |
| 1223G0001X Dentist, General Practice (Licence: FL DN18168) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2018-12-03 |