| NPI | 1447696380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 109558) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1856242) |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2024-09-07 |