NPI | 1932411022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 60965) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 60965) |
Enumeration Date | 2010-07-06 |
Last Update Date | 2024-02-04 |