NPI | 1821393943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 056022) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DN2855589) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2025-01-17 |