| NPI | 1255696142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA DDS109654) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 28104) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2024-10-10 |