NPI | 1538476262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59715) |
Additional Taxonomies | 122300000X Dentist (Licence: HI CSDT-106) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2023-12-28 |