| NPI | 1710394945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN20625) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN20625) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2021-06-01 |