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 |