NPI | 1538493622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58498) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 58496) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2012-02-08 |