| NPI | 1023391034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 57466) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 57466) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |