| NPI | 1144344433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29715) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 46884) |
| 1223G0001X Dentist, General Practice (Licence: NV 4671) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2015-06-24 |