| NPI | 1831333228 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN13875) | 
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN0013875) | 
| Enumeration Date | 2009-04-29 | 
| Last Update Date | 2022-07-21 |