| NPI | 1831357268 |
|---|---|
| Former Name | ELIZABETH M RENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN18237) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN18237) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2017-07-26 |