| NPI | 1427294438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24375) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: TX F-24375) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2013-06-18 |