| NPI | 1427175561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 60033) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: DC DEN1000527) |
| 1223E0200X Dentist, Endodontics (Licence: MD 13499) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2015-09-15 |