| NPI | 1558499863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 49407) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 49407) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-04-09 |