| NPI | 1306519855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA GA2250) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS111309) |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2025-12-08 |