| NPI | 1174971279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: NY 059305) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: PA DS040824) |
| 1223E0200X Dentist Endodontics (Licence: TN 10529) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-07-21 |