| NPI | 1598993602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60701) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI LD00045) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2024-09-11 |