| NPI | 1538721006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN24712) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY Unavailable) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-02-13 |