| NPI | 1538440391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401414919) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA SP266) |
| 1223P0700X Dentist, Prosthodontics (Licence: MN R521) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2019-03-10 |