| NPI | 1649423088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 43762) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2019-04-22 |