NPI | 1790888741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50174) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS50174) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2020-10-22 |