| NPI | 1083356661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA DDS110785) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 064182) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2024-10-29 |