| NPI | 1861051948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 110787) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 37882) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-09-19 |