| NPI | 1821520487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 102740) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: CA 102740) |
| 1223G0001X Dentist, General Practice (Licence: TX 102740) | |
| 124Q00000X Dental Hygienist (Licence: TX 11165) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-04-25 |