| NPI | 1134355274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: FL DN27586) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: NY 055907) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2023-02-09 |