NPI | 1073289864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 108702) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.033386) |
Enumeration Date | 2021-08-20 |
Last Update Date | 2023-06-07 |