| NPI | 1952566564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60068) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 054534) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 11365) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2023-06-26 |