| NPI | 1598118739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN22029) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 22029) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2019-10-29 |