| NPI | 1538434196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 46262) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 46262) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |