NPI | 1528121357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 47987) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 47987) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2008-09-11 |