NPI | 1043638687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 62946) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 62946) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2016-09-12 |