| NPI | 1699008789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 58620) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 58620) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2019-11-20 |