| NPI | 1235254657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 62938) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 052977) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-02-25 |