| NPI | 1245474402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 7973) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 4367) |
| 1223G0001X Dentist, General Practice (Licence: TX 33140) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2025-02-06 |