| NPI | 1871732974 |
|---|---|
| Former Name | REBECCA LOEWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 57782) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 9844) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2023-05-25 |