| NPI | 1598221673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN.00204203) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 34925) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN23139) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2022-02-28 |