| NPI | 1871785485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 21608) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WA DE00011057) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-03-26 |