| NPI | 1558979468 |
|---|---|
| Former Name | ELISE CAITLIN ESPOSITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 7399) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D11552) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2023-04-24 |