NPI | 1861710378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 54766) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 54766) |
Enumeration Date | 2010-05-07 |
Last Update Date | 2010-10-15 |