| NPI | 1992934418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NC 12949) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: SC 10608) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2023-08-07 |