| NPI | 1962018945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: CA 105501) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 105501) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-07-29 |