| NPI | 1104540665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 39078) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 111361) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2026-02-20 |