| NPI | 1598375412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: DE G10011591) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: PA DS042872) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2025-07-18 |