| 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 |