| NPI | 1346553658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CT 12725) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 056013) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2022-08-19 |