NPI | 1225759665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 107967) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 107967) |
Enumeration Date | 2022-09-05 |
Last Update Date | 2024-10-04 |