| NPI | 1356899470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 105800) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 062926) |
| 122300000X Dentist (Licence: TX 34545) | |
| 1223G0001X Dentist, General Practice (Licence: CA 105800) | |
| 1223G0001X Dentist, General Practice (Licence: NY 062926) | |
| 1223G0001X Dentist, General Practice (Licence: FL DN22270) | |
| 1223G0001X Dentist, General Practice (Licence: TX 34545) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-08-05 |