| NPI | 1720017569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: CA 56629) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: MD 12396) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-09-13 |