NPI | 1801078712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 52640) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 517251) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2007-12-03 |