NPI | 1235241233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 54741) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54741) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-06-11 |