| 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 | 2025-12-11 |