| NPI | 1831109099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN015068) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WI 3987) |
| 1223E0200X Dentist, Endodontics (Licence: FL DN23901) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2021-10-25 |