| 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 |