NPI | 1780899260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 40848) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2015-06-05 |