| NPI | 1003541988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: UT 12888141-9925) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 12888141-9922) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2024-10-09 |