| NPI | 1972240331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 7700) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL D.007311-C1) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2025-11-20 |