NPI | 1982667234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42571) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 42571) |
Enumeration Date | 2006-04-08 |
Last Update Date | 2018-11-07 |