NPI | 1942390737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47072) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 47072) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2014-10-08 |