| NPI | 1619530656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS105156) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV LL-503-19) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2021-12-01 |