| NPI | 1649630534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 9970) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 39059) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |