| 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 |