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 |