| NPI | 1184812430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 60872) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE00010966) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2024-04-10 |