| NPI | 1669593273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D5832) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53321) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2025045051) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-10-22 |