| NPI | 1639560543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN21036) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: GA DN015836) |
| 1223E0200X Dentist, Endodontics (Licence: LA 7508) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2024-04-05 |