| NPI | 1760634224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN014372) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL Residency Permit 665) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2019-01-14 |