| NPI | 1487718243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8149) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 51232) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-04-01 |