| NPI | 1992293880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 16366) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1002077) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401416008) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2023-06-26 |