| NPI | 1699036277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 14860) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 14860) |
| 122300000X Dentist (Licence: VA 0401413482) | |
| 122300000X Dentist (Licence: DC DEN1001399) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2020-05-18 |