| NPI | 1891429619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 7575) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 151373) |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2024-07-24 |