| NPI | 1720293780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 48497) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 051553) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2018-09-14 |