NPI | 1326549445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA DDS101628) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN22148) |
Enumeration Date | 2018-02-23 |
Last Update Date | 2022-01-04 |