NPI | 1366632614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 29656) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 29656) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2014-12-29 |