| NPI | 1447278684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS63735) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6611) |
| 1223G0001X Dentist, General Practice (Licence: OR D9275) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-10-10 |