| NPI | 1528795945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 108479) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: HI DT-3188-0) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2024-11-11 |