| NPI | 1326000522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 17970) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 6974) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 13129) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |