| NPI | 1225200371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 60032) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 60032) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2019-05-16 |