| NPI | 1942433388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO DL 10086) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA DN1855414) |
| 122300000X Dentist (Licence: MA DN1855414) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2016-11-23 |