| NPI | 1013171438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN015429) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 27790) |
| 1223E0200X Dentist, Endodontics (Licence: TN 8802) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-07-21 |