| NPI | 1881030062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 14022) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 62263) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-11-27 |