| NPI | 1942567409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS109740) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12011860A) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2025-03-28 |