NPI | 1396803482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55991) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22875) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2021-03-05 |