NPI | 1053944454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN24622) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN24622) |
Enumeration Date | 2020-02-14 |
Last Update Date | 2022-06-28 |