| NPI | 1063691780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 2351) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS34672) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2023-01-21 |