| NPI | 1750588182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN 20924) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN20924) |
| 122300000X Dentist (Licence: NC 8546) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-09-22 |