| NPI | 1265559520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45847) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 45847) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-09-15 |