| NPI | 1508878455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: CA D42018) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 42018) |
| 174400000X Specialist (Licence: CA d42018) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-10-16 |