| NPI | 1588613319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 015072) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 6749) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-12-05 |