| NPI | 1699982827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 26431) |
| Additional Taxonomies | 122300000X Dentist (Licence: NV 4596) |
| 122300000X Dentist (Licence: IN 12007554) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-10-22 |