| NPI | 1275054066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS100920) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN22169) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2021-12-07 |