NPI | 1821699133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 105684) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 105684) |
Enumeration Date | 2020-11-03 |
Last Update Date | 2021-01-22 |