| NPI | 1295430304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 41180) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 4688) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2025-01-15 |