| NPI | 1538252358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: CA 51141) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 51141) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-01-06 |