NPI | 1932365111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57428) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 57428) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2011-12-20 |