| NPI | 1871759621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: TX 29881) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: NC 11212) |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: NY 057835) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-07-28 |