| NPI | 1962403683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D02336) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AZ D2336) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2013-03-25 |