| NPI | 1376626622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 43764) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AZ D012425) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-04-03 |