| NPI | 1861125692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401419678) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 390200000X) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2025-12-08 |