| NPI | 1306275110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401413972) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MD 15327) |
| 1223P0700X Dentist, Prosthodontics (Licence: DC DEN1001257) | |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2013-11-03 |