| NPI | 1295884823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: OR D8335) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: WA DE00010741) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-07-16 |