| NPI | 1619088853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NV S5-54C) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 14182) |
| 1223P0700X Dentist, Prosthodontics (Licence: IA 40149) | |
| 1223P0700X Dentist, Prosthodontics (Licence: CO 6853) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-02-05 |