| NPI | 1548708498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 104749) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 35729) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2026-08-28 |