NPI | 1467168666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 41857) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 109022) |
Enumeration Date | 2023-01-31 |
Last Update Date | 2025-08-15 |