NPI | 1295184489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA DDS101175) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: IN 12012479A) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2020-02-24 |