| NPI | 1841474996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 56559) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 56559) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2016-11-07 |