| NPI | 1932656949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS100800) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 100800) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-08-11 |