| NPI | 1699355925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NC 13157) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DRPM2339) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-11-09 |