| NPI | 1235242330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN21918) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 3187-01) |
| 1223E0200X Dentist, Endodontics (Licence: MS ENDO-368-03) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-02-18 |