| NPI | 1972519577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 107343) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401411436) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-11-06 |