| NPI | 1598198608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN20735) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 15480) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2020-08-13 |