| NPI | 1841738861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 13345) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1002028) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 16987) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-11-21 |