| NPI | 1235279563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 049387) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 45192) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |