NPI | 1295104453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 64557) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS64557) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2022-09-22 |