| NPI | 1083754725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53473) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 41847) |
| 1223G0001X Dentist, General Practice (Licence: CA 49422) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-01-24 |