| NPI | 1427929298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 112534) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 12510) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2026-01-07 |