| NPI | 1285012344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 100533) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN LDR180199) |
| 122300000X Dentist (Licence: CA 100533) | |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2021-06-23 |