NPI | 1194070441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 60948) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 60948) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2021-07-15 |