| NPI | 1396225777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS103025) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 103025) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2023-03-08 |