| NPI | 1164757027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS101865) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D7837) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2022-02-11 |