| NPI | 1528522760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 104648) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA xxxxxxx) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2023-12-13 |