| NPI | 1801565429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS106002) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 106002) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2026-06-03 |