| NPI | 1437124526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58453) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7656) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-04-24 |