| NPI | 1265004477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS107156) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 26281) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-01-28 |