| NPI | 1932135357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 8762) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 43109) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-07-08 |