| NPI | 1801907043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OH 30-023357) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX F21974) |
| 1223P0700X Dentist, Prosthodontics (Licence: MI 2901016055) | |
| 1223P0700X Dentist, Prosthodontics (Licence: CO 8138) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-06-15 |