| NPI | 1720215726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.024899) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22D102410200) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS038483) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-09-16 |