| NPI | 1114089398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45170) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA CA45170) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-07-16 |