NPI | 1215076369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35007) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 5758) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |