| NPI | 1538493622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58498) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 58496) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2012-02-08 |