| NPI | 1134571904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 37307) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 100333) |
| 1223G0001X Dentist, General Practice (Licence: FL DTC71) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-05-29 |