| NPI | 1841529179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D10922) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 8890) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2018-10-19 |