| NPI | 1881117356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: KY 10818) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 10818) |
| 122300000X Dentist (Licence: SC 8976) | |
| 122300000X Dentist (Licence: FL DN25572) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2024-07-17 |