| NPI | 1114157252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 60971) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE 60085199) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2020-02-05 |