| NPI | 1073966933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA 100436) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 100436) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2025-02-17 |