| NPI | 1447405907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PR 2576) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2576) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2015-03-31 |