NPI | 1033277264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 29085) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 41983) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2024-07-25 |