| NPI | 1255438172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 47602) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: HI DT-2001) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-08-04 |