| NPI | 1407969850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 40024) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 13572) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-11-07 |