| NPI | 1962935221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC DGD.10410) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401416739) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 12957) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 16704) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-03-02 |