| NPI | 1982883575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 62346) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: PA DS0276299-L) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2023-11-22 |