| NPI | 1932541687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401414141) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 27467) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2022-08-17 |