| NPI | 1841371622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 09345) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: DC 04910) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |