| NPI | 1245749290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA DNF000411) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 39184) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2025-02-11 |