NPI | 1831192251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 101387) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 19578) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2022-07-21 |