| 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 |