| NPI | 1558561233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PR 2728) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2728) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2023-01-03 |