| NPI | 1619467479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS104474) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401416034) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2022-04-09 |