| NPI | 1033391438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA 56743) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 56743) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2022-01-09 |