NPI | 1285728089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 48597) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 48597) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2012-04-17 |