| NPI | 1073022711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DN1858907) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DF11291) |
| 1223E0200X Dentist, Endodontics (Licence: MA DF11518) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-03-16 |