| NPI | 1497083778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58483) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 9585) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2016-05-04 |