| NPI | 1528793858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS108707) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN27044) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2023-05-24 |