| NPI | 1417242538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61556) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011633A) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2022-01-17 |