NPI | 1518680826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 108617) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 108617) |
Enumeration Date | 2022-09-21 |
Last Update Date | 2023-04-19 |