| NPI | 1528290699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58670) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D7994) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2023-03-17 |