| NPI | 1336329937 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00011206) | 
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24487) | 
| 122300000X Dentist (Licence: CT 009659) | |
| Enumeration Date | 2007-11-12 | 
| Last Update Date | 2025-09-29 |