| NPI | 1598080921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN21564) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PR 2829) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2015-11-12 |