| NPI | 1821261595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DTP676) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MI 2901018519) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-09-21 |