| NPI | 1578970380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 107166) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D8936) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2025-10-23 |