| NPI | 1588044143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS040407) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS040407) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-02-13 |