| NPI | 1124796305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-240) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 106531) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-10-19 |