NPI | 1437343415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 56250) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 56250) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2018-10-08 |