| NPI | 1871563759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NC 10176) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: GA DN012978) |
| 1223P0700X Dentist, Prosthodontics (Licence: HI DT-3195) | |
| 1223P0700X Dentist, Prosthodontics (Licence: MD 13181) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2024-08-30 |