NPI | 1700343332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 0000000) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 106225) |
Enumeration Date | 2019-03-01 |
Last Update Date | 2024-10-30 |