| NPI | 1053813907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 061760-01) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: SC 10276) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-10-28 |