| NPI | 1821288135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14256) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 000065-1) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401413722) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1000773) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2024-02-12 |