NPI | 1942675129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 65175) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 6719) |
Enumeration Date | 2015-12-14 |
Last Update Date | 2018-06-15 |