| NPI | 1336569268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 29783) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CO DEN.00204490) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2024-02-20 |