| NPI | 1437707098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS103848) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS042417) |
| 122300000X Dentist (Licence: CA 103848) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-02-18 |