| NPI | 1407105083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN21445) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN21445) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2023-09-08 |