| NPI | 1043695299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS108252) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE60584840) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2023-01-27 |