| NPI | 1417498155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN20756) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN20756) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2025-04-18 |