| NPI | 1003950064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 12010906A) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: KY 8101) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |