NPI | 1659927093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA DDS104003) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: CA DDS104003) |
Enumeration Date | 2019-08-12 |
Last Update Date | 2019-08-12 |