| NPI | 1295141836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: FL DN19410) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN19410) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2015-11-10 |