| NPI | 1356768360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 04780) |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0700X Dentist, Prosthodontics (Licence: TX 36125) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-07-05 |