| NPI | 1902499692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 113001) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL dh21656) |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2026-07-10 |