| NPI | 1487108387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: NY 060441-01) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: MA DN1857372) |
| 1223G0001X Dentist General Practice (Licence: MA DN1857372) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2019-09-05 |