| NPI | 1053446963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA b43653) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AK 1359) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-06-27 |