NPI | 1275102246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 106281) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 106281) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2022-03-26 |