| NPI | 1871533760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55130) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037131) |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-04-12 |