| NPI | 1073061297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02653700) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE60295958) |
| 1223E0200X Dentist, Endodontics (Licence: FL DN22262) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |