| NPI | 1588137293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 103427) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL 29715) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2026-04-23 |