| NPI | 1346823978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA 2204) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 110522) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2024-09-05 |