| NPI | 1558519058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WI 6901-15) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MN D11633) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2022-07-21 |