NPI | 1639223092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 56897) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013333) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2021-11-18 |