| NPI | 1720438708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA SP338) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: WA DENT.DE.70098530) |
| 1223P0300X Dentist, Periodontics (Licence: TX 41291) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2026-08-05 |