| 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 |