| NPI | 1194450049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 39060) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 11975) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2023-03-28 |