| NPI | 1619463312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 104376) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IA 10386) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2025-08-28 |