NPI | 1285642355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 54301) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54301) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2013-03-26 |