| NPI | 1962879148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: DC DEN1001876) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 122300000X Dentist (Licence: FL DN20925) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2018-11-06 |