NPI | 1396521654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA DDS109020) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS109020) |
Enumeration Date | 2023-09-04 |
Last Update Date | 2024-07-01 |