| NPI | 1649429044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE00008511) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE0008511) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2019-08-28 |