| NPI | 1942535851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PA DS037510) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS037510) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2022-11-30 |