| NPI | 1801078712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 52640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 517251) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |