| NPI | 1669550125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53362) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS KS6731) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-06-28 |