NPI | 1649311317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 39978) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 39978) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2016-01-18 |