| NPI | 1700464443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: RI DEN03671) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN2000475) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 13933) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-01-15 |