| NPI | 1528639077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS106246) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 106246) |
| 1223D0001X Dentist, Dental Public Health (Licence: CA 106246) | |
| 1223G0001X Dentist, General Practice (Licence: CA 106246) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-12-04 |