| NPI | 1043364102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CT 008260) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 043855-1) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |