| NPI | 1528827557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR DF0056) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 35899) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |