| NPI | 1881674935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 41107) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 7351) |
| 122300000X Dentist (Licence: VA 0401410289) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2025-01-23 |