| NPI | 1033382403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 053255) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02926500) |
| 1223E0200X Dentist, Endodontics (Licence: MA 21939) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2024-07-30 |