NPI | 1508987306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 47881) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23007) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2022-09-14 |