| NPI | 1013107937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60285976) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DR20000193) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 59870) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2019-04-23 |