| NPI | 1598121402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 17173) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN21573) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN21573) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2020-03-06 |