| NPI | 1770152209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 1002590-15) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 100259015) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 1002590) | |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2024-10-15 |