| NPI | 1043480916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 40127) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC17846) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2018-10-10 |