| NPI | 1316604747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN26316) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 26316) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-09-20 |