| NPI | 1932474665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401418600) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MO IA-0008154045) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2025-10-28 |