| NPI | 1225481393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 31986) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 39186) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2021-09-01 |