| NPI | 1316351364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MD 16908) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: VA 0401416929) |
| 1223E0200X Dentist Endodontics (Licence: DC DEN1002102) | |
| 1223G0001X Dentist General Practice (Licence: NY 05896201) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-07-06 |