| NPI | 1992998512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 9552) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 21943) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2024-11-13 |