NPI | 1740596485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59517) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT DEN-DEN-LIC-6057) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2015-06-24 |