| NPI | 1336273630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 57578) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20810) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-04-28 |