| NPI | 1871292128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PA RFD000068) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MA DF11831) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-03-14 |