NPI | 1013156793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 58068) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 58068) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2020-08-27 |