| NPI | 1700191608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G3-0010519) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 15287) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2024-11-12 |