| NPI | 1669997565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN22809) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN22809) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-03-21 |