| NPI | 1821221573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS035533) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: DE GI 0001293) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2013-01-02 |