NPI | 1780890681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 21733) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CT 009589) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2007-07-08 |