| NPI | 1578838454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 59907) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 59907) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2023-07-23 |