| NPI | 1831261353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: PA DS042850) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ DI022048) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-08-02 |