| NPI | 1649463001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 60009) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401411906) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-06-20 |