| NPI | 1558046995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 11206.PD) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL D.007625-C1) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2026-09-21 |