| NPI | 1841697729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 100122) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN21681) |
| 122300000X Dentist (Licence: DC DEN1001466) | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2026-01-25 |