| NPI | 1467539635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE00006675) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA 6675) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-04-01 |