| NPI | 1033564935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA RFD000014) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 64396) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |