| NPI | 1326248535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: SC 4218) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: GA DN013380) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2018-10-12 |