| NPI | 1659415826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 28) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 19999) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2022-07-21 |