| NPI | 1386967875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: CA 45399) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 45399) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2019-10-02 |