| NPI | 1952984742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN27649) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901600741) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2023-02-28 |