NPI | 1013427285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DN1857760) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 1857760) |
1223G0001X Dentist, General Practice (Licence: MA DN1857760) | |
Enumeration Date | 2017-10-02 |
Last Update Date | 2023-04-16 |