NPI | 1801235247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN25806) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS042756) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2022-10-04 |