| NPI | 1700044781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: NV 5993) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56779) |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA 56779) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2013-05-20 |