| NPI | 1104869809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NH 1844) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 13970) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-04-27 |