| NPI | 1427249556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55901) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 55901) |
| 1223G0001X Dentist, General Practice (Licence: IA 08609) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-03-07 |