| NPI | 1598171167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 63578) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 63578) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2015-11-13 |