NPI | 1942598404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN19595) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24711) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2013-04-26 |