| NPI | 1821129826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 56681) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MD 13422) |
| 1223E0200X Dentist, Endodontics (Licence: NY 050353-1) | |
| 1223E0200X Dentist, Endodontics (Licence: CT 009798) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-04-15 |