| NPI | 1790061745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN25776) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02434400) |
| 1223E0200X Dentist, Endodontics (Licence: NY 0556931) | |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2022-01-11 |