NPI | 1427360940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 101209) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 101209) |
1223G0001X Dentist, General Practice (Licence: NY 056566) | |
1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NY 056566) | |
Enumeration Date | 2010-07-13 |
Last Update Date | 2018-08-07 |