| NPI | 1740433952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58755) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 58755) |
| 1223X2210X Dentist, Orofacial Pain (Licence: CA 58755) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: PA 58755) | |
| 125Q00000X Oral Medicinist (Licence: PA 58755) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2022-07-26 |