NPI | 1366782740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA 60642900) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 53197) |
Enumeration Date | 2013-02-22 |
Last Update Date | 2020-07-27 |