| NPI | 1013150697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 34986) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS037793) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2022-08-19 |