| NPI | 1245856582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS-107084) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA DDS-09790) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2022-01-04 |