| NPI | 1821149576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21773) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21773) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-09-13 |