NPI | 1942247184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55118) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8619) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2016-01-29 |