| NPI | 1457809287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 101501) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 6840) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-07-21 |