NPI | 1730203902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2024041155) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NC 0058) |
1223E0200X Dentist, Endodontics (Licence: TX 26573) | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2025-04-23 |