| NPI | 1174923320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 2901021262) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901021262) |
| 122300000X Dentist (Licence: IL 019029974) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2022-07-21 |