| NPI | 1336923267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS109755) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 13456707-9921) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-01-17 |