NPI | 1669255089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 109133) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 109133) |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-17 |