| NPI | 1275089088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D011677) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN 21784) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-01-15 |