| NPI | 1710474416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: GA DN122940) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02820000) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: NY 060552) | |
| 1223P0221X Dentist Pediatric Dentistry (Licence: FL DN23876) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-08-29 |