| NPI | 1821744046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PR 3491) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 3491) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-11-11 |