| 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 |