| NPI | 1902426950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 104804) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS104804) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-09-15 |