| NPI | 1316068935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 18807) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 18807) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-07-27 |