| NPI | 1548524671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NH DN04041) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA DN1856496) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2014-06-16 |