| NPI | 1467647164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 24515) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: WI 156-875) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2025-04-25 |