| NPI | 1922179381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 27671) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 27671) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |