| NPI | 1285365031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 108170) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC DGD.10230) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-03-28 |