| NPI | 1356378350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA 010533) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: GA 10533) |
| 1223P0700X Dentist, Prosthodontics (Licence: CA 61891) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-08-09 |