| NPI | 1124441969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 11266) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2015007462) |
| 122300000X Dentist (Licence: IL 019029706) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2021-03-09 |