| NPI | 1326709122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA GA2243) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS108667) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2025-12-08 |