| NPI | 1447390281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS118320) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA D54386) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-10-01 |