| NPI | 1477086155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 100713) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 100713) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-03-27 |