| NPI | 1851677017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 29818) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: VA 0401413840) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2020-12-09 |