| NPI | 1356532915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57047) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 053582) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2009-02-24 |