| NPI | 1184892309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VT 016.0049567) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA DN21894) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2014-02-14 |