| NPI | 1376822460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 106083) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 10532) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2024-01-19 |