| NPI | 1871671297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20784) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 4342-22) |
| 1223G0001X Dentist, General Practice (Licence: AR 4389) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-12-19 |