| NPI | 1871883389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ZZ 4316145) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: ZZ 4964081) |
| 1223G0001X Dentist, General Practice (Licence: ZZ 14724) | |
| 1223E0200X Dentist, Endodontics (Licence: ZZ 16057) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2012-03-12 |