| NPI | 1912112624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NH 03541) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL 17486) |
| 1223E0200X Dentist, Endodontics (Licence: MA 21565) | |
| 1223E0200X Dentist, Endodontics (Licence: ME 4037) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-05-23 |