| NPI | 1326427840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS100639) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS040473) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2019-09-03 |