| NPI | 1518370360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN20624) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD LL705) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-07-20 |