| NPI | 1821578758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DTP802) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 102494) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 102494) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 7866) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-01-19 |