| NPI | 1285693259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN14871) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 14871) |
| 1223E0200X Dentist, Endodontics (Licence: FL DN147871) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2023-01-19 |