| NPI | 1215565486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 35932) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 35932) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-09-24 |