| NPI | 1609109529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 9984) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS037147) |
| 1223E0200X Dentist, Endodontics (Licence: PA DN001316) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2023-07-11 |