| NPI | 1295466928 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN123592) | 
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DA27280) | 
| Enumeration Date | 2022-06-22 | 
| Last Update Date | 2024-12-30 |