| NPI | 1760651731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist Dentist Anesthesiologist (Licence: CA 56702) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56702) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2025-01-20 |