| NPI | 1609081827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: KY 9130) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 8519) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2012-04-29 |