| NPI | 1093971210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DN1858129) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 55412) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2019-05-30 |