| NPI | 1295466928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DA27280) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL pending) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-08-02 |