| NPI | 1972517795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA DNF000330) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 27659) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-04-13 |