| NPI | 1194245704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN015952) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 101244) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2026-05-07 |