| NPI | 1457700171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS106156) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS40553) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2022-05-10 |