| 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 |