| NPI | 1992357602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA DDS102382) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS102382) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2022-02-10 |