| NPI | 1407197288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 102332) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN20508) |
| 1223G0001X Dentist, General Practice (Licence: CA DDS102332) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2021-08-09 |