| NPI | 1447904834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS105692) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS105692) |
| 1223E0200X Dentist, Endodontics (Licence: AZ 011586) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-04-15 |