NPI | 1992002539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48067) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 48067) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2011-02-17 |