| NPI | 1770639254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 48462) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18274) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-03-07 |