| NPI | 1396259628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 33603) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 33603) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-02-26 |