| NPI | 1770712705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401412509) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: DC DEN1000827) |
| 1223E0200X Dentist, Endodontics (Licence: CA 51517) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |