| NPI | 1801299177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN21385) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DL12313) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2023-06-27 |