| NPI | 1952086266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 18587) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 18587) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: FL DRPM2608) | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-07-02 |