NPI | 1215145313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46068) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 46068) |
Enumeration Date | 2007-05-20 |
Last Update Date | 2018-04-06 |