| NPI | 1619562543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PA RFD000042) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IN 12013481A) |
| 1223P0700X Dentist, Prosthodontics (Licence: IL 019.032873) | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-30 |