| NPI | 1417828872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS112291) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS112291) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2026-07-04 |