NPI | 1578122081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 39407) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AL 0006638) |
Enumeration Date | 2019-06-08 |
Last Update Date | 2025-08-11 |