| NPI | 1851459028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: KY 7964) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IN 12010894A) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |