NPI | 1225292261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 59307) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN18549) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2022-08-19 |