| NPI | 1861365587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS113569) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DENT.DE.70022954) |
| 1223X2210X Dentist, Orofacial Pain (Licence: CA DDS113569) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: WA DENT.DE.70022954) | |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2026-08-03 |