| NPI | 1609959873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN16468) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 21729) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-01-01 |