| NPI | 1770817199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS52877) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA FK1262803) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2020-04-09 |