NPI | 1851451108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 52968) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 52968) |
Enumeration Date | 2006-12-09 |
Last Update Date | 2019-02-08 |