| NPI | 1710545272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-215) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ pending) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-10-08 |