NPI | 1083837181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51411) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 49173) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2018-07-09 |