| NPI | 1902524200 |
|---|---|
| Former Name | ELISE KATHERINE TIGANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 16806) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |