| NPI | 1669602876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN 20019) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61849) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2016-11-01 |