| NPI | 1699189431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA DDS103376) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI02638100) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: NY 058674) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-11-07 |