NPI | 1871962522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DF11458) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DL12752) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2019-09-17 |