NPI | 1932541687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 27467) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401414141) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2024-08-02 |