| NPI | 1649313313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ 7171D) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 7171) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-10-16 |