| NPI | 1003173386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN19592) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 30612) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2021-12-02 |