| NPI | 1881915858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D10948) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: KY 8597) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2019-01-22 |