| NPI | 1194830026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24032) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DR20000157) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-04-24 |