| NPI | 1023181427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MI 013655) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 30260) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-07-27 |