| NPI | 1699988444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE60745217) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE6074612) |
| 1223E0200X Dentist, Endodontics (Licence: CO 9326) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-07-21 |