NPI | 1669618161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 57907) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 57907) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2025-09-12 |