| NPI | 1255767935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 30552) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 62829) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2016-10-27 |