| NPI | 1548479710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 22073) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 050526) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-11-14 |