| NPI | 1407331770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS102810) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 102810) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2023-04-13 |