| NPI | 1932899184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DRPM2593) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 000000) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-07-20 |