| NPI | 1386721736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 55811) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 13802) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-02-08 |