| NPI | 1386533289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 41714) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 8124) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |