| NPI | 1881034023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MO 2013018619) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: KS 60988) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2026-07-10 |