| NPI | 1346659182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 34764) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO msden.00000002) |
| 122300000X Dentist (Licence: IL 019029926) | |
| 122300000X Dentist (Licence: KS 61729) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2024-09-23 |