| NPI | 1326290735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23873) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6306015) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-09-11 |