| NPI | 1437273950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NC 0008) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 20821) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |