| NPI | 1538166293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 36987) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 34719) |
| 1223P0700X Dentist, Prosthodontics (Licence: PR D-02156) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-03-06 |