| NPI | 1689192072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS45038) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 45038) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-03-25 |