| NPI | 1689306524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 10760) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10760) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12013851A) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-07-03 |