| NPI | 1477867224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 60046) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DL11028) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2013-07-15 |