| NPI | 1922803931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA 61648155) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 021.003409) |
| 1223E0200X Dentist, Endodontics (Licence: TX 41169) | |
| 1223G0001X Dentist, General Practice (Licence: IL 019.035672) | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-10-22 |