NPI | 1912291741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 149-28) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 64634) |
1223E0200X Dentist, Endodontics (Licence: NY 056201-1) | |
Enumeration Date | 2011-06-09 |
Last Update Date | 2015-09-17 |