| NPI | 1023390523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 7486) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: ID D4382-PR) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2023-08-23 |