| NPI | 1528392115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NM DD4508) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 47259) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2017-10-17 |