| NPI | 1871696484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 0021616) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 21616) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-04-09 |