| NPI | 1801047543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NC 10237) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12011155A) |
| 1223E0200X Dentist, Endodontics (Licence: VA 0401417832) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2025-06-25 |