NPI | 1619114253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 57150) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 57150) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2022-03-03 |