NPI | 1306856893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DS33852) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 33852) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2021-06-28 |