NPI | 1982125498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 101505) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 101505) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2018-03-17 |