| NPI | 1184854077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D10168) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 24831) |
| 1223G0001X Dentist, General Practice (Licence: TX 24831) | |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2021-03-31 |