| NPI | 1326492539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN28138) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 062279) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-06-19 |