| NPI | 1225478415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NC 13043) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS039632) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-03-13 |