| NPI | 1740663848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 109618) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN21393) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-11-03 |