| NPI | 1316435985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 111344) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D10945) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2026-01-19 |