| NPI | 1750733986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 32760) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 9861834-9922) |
| 1223G0001X Dentist, General Practice (Licence: UT 9861834-8903) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2021-05-23 |