| NPI | 1841557915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 16352) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: CO 10663) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 10663) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2018-07-23 |