| NPI | 1144890575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 111089) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9925) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2025-02-03 |