| NPI | 1427345750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 62309) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL 1018) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2023-04-18 |