| NPI | 1316354806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 29541) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 29541) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2022-01-04 |