| NPI | 1306032115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ 7731) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE00010706) |
| 1223E0200X Dentist, Endodontics (Licence: CA 61026) | |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2021-01-29 |