| NPI | 1568100881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 6001770-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6001770-15) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2026-03-26 |