| 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 |