NPI | 1871283820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 41920) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 41920) |
Enumeration Date | 2023-05-12 |
Last Update Date | 2025-09-11 |