| NPI | 1497974885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 48941) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 48941) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-09-09 |