NPI | 1093021362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 59612) |
Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: PA DS043346) |
Enumeration Date | 2010-08-25 |
Last Update Date | 2022-04-20 |