| NPI | 1326334269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 26252) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 26252) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-03-20 |