NPI | 1386967800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58918) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 58918) |
Enumeration Date | 2010-03-11 |
Last Update Date | 2018-08-27 |