| NPI | 1932645827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NV S5-46C) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 63003) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-11-29 |