NPI | 1952926263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 110094) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CO DEN.00205204) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-06-11 |
Last Update Date | 2024-07-31 |