| NPI | 1700439080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS110605) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D010441) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-09-06 |