| NPI | 1669886347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS040029) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS040029) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2022-07-21 |