| NPI | 1972913374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: KS 61726) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 019030264) |
| 1223E0200X Dentist, Endodontics (Licence: MO 2019033972) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-10-10 |