| NPI | 1033353511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 64526) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 136733) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2016-09-01 |