| NPI | 1164445946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA b47007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 386843) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2026-01-29 |