| NPI | 1306531207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DN10001299) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CT 13846) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2026-08-04 |