| NPI | 1922634641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 11875) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DRPM2322) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2025-06-19 |