| NPI | 1851551840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA RFD000054) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 9856) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-06-15 |