| NPI | 1609493378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 11683) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 102748) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-02-21 |