| NPI | 1982018909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS101303) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30069) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2026-05-04 |