NPI | 1861569402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57331) |
Additional Taxonomies | 122300000X Dentist (Licence: MN D12306) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2012-02-08 |