| NPI | 1093850935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30546) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR #2026) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-06-08 |