| NPI | 1295281194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS043021) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 101354) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-11-02 |