NPI | 1538335708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 27744) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27744) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2019-01-09 |