| NPI | 1386715233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DY035030) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 5703) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-02-01 |