| NPI | 1144955493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS108700) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI DT-3007-0) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-07-08 |