| NPI | 1669560009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 51999) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 51999) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-01-22 |