| NPI | 1558308221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MT 2151) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 5820) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-10-05 |