| NPI | 1336208438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22488) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS7040) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2026-04-22 |