NPI | 1366016289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 107597) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 107597) |
Enumeration Date | 2021-05-15 |
Last Update Date | 2024-03-23 |