| NPI | 1760049944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN31421) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D010332) |
| 122300000X Dentist (Licence: TX 40338) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2026-03-17 |