| NPI | 1689685307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 47984) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 27598) |
| 122300000X Dentist (Licence: CA 47984) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2014-07-14 |