| NPI | 1912497868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 102240) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 102240) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-09-04 |