NPI | 1184705667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN-9232) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS-57085) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-11-19 |