| NPI | 1033314216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS037453) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 21294) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-07-03 |