| NPI | 1124332887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28945) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1855518) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2024-03-19 |