| NPI | 1174798268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 16551) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CO DEN.002002188) |
| 1223E0200X Dentist, Endodontics (Licence: GA DNO14722) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2018-03-29 |