| NPI | 1205922069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 38337) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS025472L) |
| 1223E0200X Dentist, Endodontics (Licence: MA 16222) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |