| NPI | 1184705667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO DEN-9232) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA DDS-57085) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-11-19 |