| NPI | 1033427232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA dds101310) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA ds038941) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2021-12-21 |