| NPI | 1558746883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS110851) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30025243) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-11-10 |