| NPI | 1881934016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: UT 8689135-9922) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 8689135-9921) |
| 1223P0300X Dentist, Periodontics (Licence: CA 107298) | |
| 1223P0300X Dentist, Periodontics (Licence: UT 8689135-9921) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2024-01-25 |