| NPI | 1124767991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: FL DN26886) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: FL 26886) |
| 1223E0200X Dentist Endodontics (Licence: FL DN2439) | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-06-01 |