| NPI | 1124985940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 42184) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401419801) |
| 122300000X Dentist (Licence: TX 42184) | |
| 1223G0001X Dentist, General Practice (Licence: VA 0401419801) | |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-03-28 |