| NPI | 1669967816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN23609) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: GA DN123627) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-12-04 |