| NPI | 1134674070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS101381) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 6823) |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2022-07-21 |