| NPI | 1598255358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AR 4277) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: MO PENDING) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2020-08-27 |