| NPI | 1790868867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 12378) |
| Additional Taxonomies | 122300000X Dentist (Licence: DC DEN1000025) |
| 122300000X Dentist (Licence: MD 12378) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-03-11 |