| NPI | 1225607559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS107051) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 7485) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-02-05 |