| NPI | 1922626787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: FL DN25163) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN25163) |
| 122300000X Dentist (Licence: IL 019.033568) | |
| 122300000X Dentist (Licence: FL DN25163) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-07-17 |