| NPI | 1316451180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS105710) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2019023520) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2021-12-04 |