| NPI | 1588096234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MD 15511) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 15511) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2026-07-28 |