| NPI | 1437629540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 39430) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 102771) |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2023-07-12 |