| NPI | 1932320157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN4371) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 8876) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS023215L) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-04-01 |