| NPI | 1831460518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D011964) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 6825-15) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-12-05 |