| NPI | 1548919079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 18513) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 063816) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401419367) | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-09-10 |