NPI | 1861505984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40116) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 4972) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2007-07-08 |