| NPI | 1093356016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: CA DDS104403) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA DDS104403) |
| 125Q00000X Oral Medicine (Licence: CA DDS104403) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2026-05-11 |