NPI | 1740964410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 110038) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.027245) |
Enumeration Date | 2023-06-13 |
Last Update Date | 2025-06-23 |