| NPI | 1699078527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS038543) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1-0001429) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2024-01-17 |