| NPI | 1699096040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: RI den03112) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 58285) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2011-10-04 |