NPI | 1700864931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS-024138L) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: RI DEN02607) |
1223E0200X Dentist, Endodontics (Licence: MA 19321) | |
Enumeration Date | 2006-01-06 |
Last Update Date | 2015-07-14 |