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 |