| NPI | 1003027699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 23676) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 54730) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-09-09 |