| 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 |