NPI | 1669550125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53362) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS KS6731) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-06-28 |