| 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) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 11043) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 12596) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: AL D.007400-C) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401419215) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.027754) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-04-23 |