| NPI | 1780498675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NV S6-137) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NV S6-87) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |