NPI | 1245721349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 102466) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 102466) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2018-05-23 |