| NPI | 1932365111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57428) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 57428) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2011-12-20 |