| NPI | 1245770544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401418098) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 102988) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2025-03-17 |