| NPI | 1003052051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: RI RD03149) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 57279) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2026-05-27 |