| NPI | 1003004888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 936451) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 936451) |
| 1223E0200X Dentist, Endodontics (Licence: CA 936451) | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 936451) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 936451) | |
| 1223P0300X Dentist, Periodontics (Licence: CA 936451) | |
| 1223P0700X Dentist, Prosthodontics (Licence: CA 936451) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 936451) | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: CA 936451) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 936451) | |
| 122400000X Denturist (Licence: CA 936451) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2010-02-03 |