| NPI | 1437423282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 34766) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA DL11493) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2019-01-05 |