NPI | 1881994689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 59855) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 59855) |
Enumeration Date | 2010-10-26 |
Last Update Date | 2020-06-03 |