| NPI | 1528289261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: FL DN10214) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: CA 38763) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |