| NPI | 1144479601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24367) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 57370) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2017-05-09 |