| NPI | 1689237596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS109502) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D010779) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2024-04-18 |