| NPI | 1699561738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 111422) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 111422) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-07-03 |