| NPI | 1316024029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE60568617) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NV S-7-73) |
| 1223E0200X Dentist, Endodontics (Licence: NV 57-73) | |
| 1223E0200X Dentist, Endodontics (Licence: OR D10753) | |
| 1223E0200X Dentist, Endodontics (Licence: CA 49998) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-10-31 |