| NPI | 1336330984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 62709) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037306) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2018-02-15 |