| NPI | 1982997177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1855565) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028489) |
| 122300000X Dentist (Licence: TX 0025956) | |
| 122300000X Dentist (Licence: CT 10358) | |
| 122300000X Dentist (Licence: IN 12011534A) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |