| NPI | 1942247184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55118) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8619) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-01-29 |