NPI | 1942517784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 100694) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412985) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2018-03-17 |