NPI | 1770609547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS62082) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 5666) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2024-10-05 |