NPI | 1720229933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN 21290) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 010223) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2016-10-06 |