| NPI | 1356431076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NV s7-99) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN21535) |
| 1223E0200X Dentist, Endodontics (Licence: AZ D05452) | |
| 1223E0200X Dentist, Endodontics (Licence: TX 33578) | |
| 1223E0200X Dentist, Endodontics (Licence: CA 55382) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-09-07 |