| NPI | 1588296024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MN S215) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: FL DPRM2096) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-08-27 |