| NPI | 1770609547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS62082) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 5666) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-10-05 |