| NPI | 1851688980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS03775) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038775) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-01-13 |