| NPI | 1548606510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TX 16500) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: NC 0160) |
| 1223D0001X Dentist, Dental Public Health (Licence: MD 55) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2015-06-23 |