| NPI | 1083142236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA DDS103506) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS103506) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: CA GA2194) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-12-02 |