NPI | 1740433952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 58755) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 58755) |
1223X2210X Dentist, Orofacial Pain (Licence: CA 58755) | |
1223X2210X Dentist, Orofacial Pain (Licence: PA 58755) | |
125Q00000X Oral Medicine (Licence: PA 58755) | |
Enumeration Date | 2008-10-31 |
Last Update Date | 2022-07-26 |