| NPI | 1841823143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD22013) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS106783) |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2024-03-15 |