| NPI | 1073152146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN24549) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 35873) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2022-10-18 |