| NPI | 1174974778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS111188) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN23931) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2025-11-20 |