| NPI | 1952980674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WV 4557) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS044362) |
| 1223E0200X Dentist, Endodontics (Licence: MD 18145) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2023-10-25 |