NPI | 1578791430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA DDS105833) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DN1857519) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2023-01-24 |