| NPI | 1538549951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 40786) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DTP720) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 060171) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2024-08-01 |