| NPI | 1215110242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5578) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 6647229-9922) |
| 1223G0001X Dentist, General Practice (Licence: TX 27544) | |
| 1223G0001X Dentist, General Practice (Licence: CA 100168) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2021-12-01 |