| NPI | 1063432565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 24500) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS030073-l) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-07-30 |