| NPI | 1386141257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1859648) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS104628) |
| 1223G0001X Dentist, General Practice (Licence: AZ D010376) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-04-24 |