| NPI | 1407339351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 103356) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: VA 0401416253) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2019-01-31 |