| NPI | 1861108581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 108215) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GU D1054) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2025-01-07 |