| NPI | 1417024928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401412431) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MD 14204) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-04-13 |