| NPI | 1700551835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA DDS111260) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: OH 30.026627) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-12-12 |