| NPI | 1609547348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NH 05278) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: ME DEN5420) |
| 1223E0200X Dentist, Endodontics (Licence: MA DL100372) | |
| 1223E0200X Dentist, Endodontics (Licence: VT 016.0134311) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2026-09-17 |