| NPI | 1871943233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 059981-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1857388) |
| 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02737100) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2019-03-02 |