| NPI | 1669905659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA DDS103626) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 103626) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-08-19 |