| NPI | 1831738087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 34365) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 34365) |
| 122300000X Dentist (Licence: MS 3992-18) | |
| 1223E0200X Dentist, Endodontics (Licence: MS 3992-18) | |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-10-28 |