| NPI | 1467966192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN23073) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN23073) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2022-12-01 |