| NPI | 1578092136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: VA 0401417456) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: MD 16841) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-09-02 |