| NPI | 1386052538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 31724) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NC 9833) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-09-30 |