| NPI | 1013139500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 10325) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MD 13851) |
| 1223E0200X Dentist, Endodontics (Licence: VA 0401412857) | |
| 1223E0200X Dentist, Endodontics (Licence: TX 30833) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-07-18 |