| NPI | 1003255217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS104537) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN20167) |
| 1223E0200X Dentist, Endodontics (Licence: FL DN20167) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-11-22 |