| NPI | 1922663400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN25765) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858430) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2021-05-08 |