| NPI | 1487960084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 8749) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN20536) |
| 122300000X Dentist (Licence: MA DN1855391) | |
| 122300000X Dentist (Licence: SC DGD8749) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2020-08-27 |