| NPI | 1275233785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 39690) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 4695) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-08-17 |