| NPI | 1376762096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401411658) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NC 8396) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-03-15 |