| NPI | 1548790405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN22563) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 9972) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-09-04 |