| NPI | 1871790618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: KS 60002) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MO 2017021308) |
| 1223E0200X Dentist, Endodontics (Licence: IA 08457) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-07-21 |