| NPI | 1225415441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 16870) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE G1-0001378) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-05-20 |