NPI | 1801481494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123368) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 106039) |
Enumeration Date | 2021-03-04 |
Last Update Date | 2024-10-08 |