| NPI | 1164863064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 4730) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MN D11288) |
| 1223P0700X Dentist, Prosthodontics (Licence: AK AA813) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-10-18 |