| NPI | 1386805695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 107361) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 154369) |
| 1223G0001X Dentist, General Practice (Licence: OH 30.022809) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2025-10-03 |