| NPI | 1295968931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401418732) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS103053) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2026-06-14 |