| NPI | 1154555894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60162) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 055141) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 010192) | |
| Enumeration Date | 2009-05-10 |
| Last Update Date | 2018-07-26 |