NPI | 1497719850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA D42551) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS-027340-L) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2007-07-08 |