| NPI | 1942542998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IA 09979) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA 60846271) |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2023-11-06 |