NPI | 1689751265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1-0001135) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS029356L) |
1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI 01930700) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |