| NPI | 1730740127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 35435) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 34534) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2021-08-09 |