| NPI | 1619288461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1-0001381) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS038600) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2023-11-20 |