| NPI | 1285075911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60506) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: HI CSDT70) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2026-04-17 |