| NPI | 1033664941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: VA 0401415207) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: MD LL802) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2017-08-03 |